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Carpal Tunnel Syndrome

Common symptoms of carpal tunnel syndrome is a feeling of numbness in the fingers or hands or a burning pain like being stabbed by a needle The thumb, index finger, middle finger or ring finger, but it does not occur on the little finger.

Carpal tunnel syndrome is caused by compression on the median nerve . in the palmar nerve cavity The palmar cavity, located at the wrist, contains both bones and ligaments. A number of factors can lead to carpal tunnel syndrome, such as: Wrist structure, congenital disease, or the use of one hand repeatedly and continuously for a long time

Symptoms

A common symptom of sciatic nerve compression syndrome is numbness in the fingers or hands. or a burning pain like being stabbed by a needle The thumb, index finger, middle finger or ring finger, but it does not occur on the little finger. Symptoms occur a lot during the day. while doing daily activities such as driving or picking up things such as holding a phone or newspaper Some patients may experience symptoms during sleep. due to unconscious bending of the wrist then cause numbness until the patient has to flicker At the same time, pain can result in waking up during the night. that the patient will be able to observe from beriberi in the morning The numbness may increase after the symptoms have subsided. hand numbness may cause hand weakness and causing the picking up of things to fall from the hand immediately

When to see a doctor

Patients should consult their doctor if these symptoms are interfering with their daily activities. and the sleep cycle (sleep cycle) if left untreated Carpal tunnel syndrome may be transmitted to the nerves. and the muscles are permanently destroyed.

Disease cause

The median nerve is the main nerve that controls the muscles that help the thumb move. It also serves to feel the thumb to fingers such as the index finger, middle finger and ring finger, but not the little finger. Irritation or pressure on the median nerve May be the cause of the nerve compression syndrome in the wrist. Other causes that cause the occurrence of this disease are wrist fractures and rheumatoid arthritis, which can cause swelling and inflammation But no specific cause was found to cause sciatic nerve compression syndrome in the wrist. because it may be caused by many factors combined

Risk factors

These factors may not be the main cause of carpal tunnel syndrome. But it may be part of the cause of inflammation in the median nerve.

Anatomic factors – when fractures and dislocations occur around the wrist bone. including arthritis that may cause deformation of the wrist bones These can cause compression. at the median nerve In addition, patients with a small carpal tunnel There may be a high risk of developing this disease.

Female – The palmar nerve cavities in women are smaller than men. Therefore, women are more likely to develop this disease. more than men Women with the disease tend to have smaller palmar nerve cavities than women without carpal tunnel syndrome.

Nerve-damaging health conditions – People with diabetes are at a higher risk of nerve damage and This results in damage to the median nerve.

Inflammatory conditions – rheumatoid arthritis affects the tendons of the wrist. This may result in nerve irritation.

Previous research has suggested a link between carpal tunnel syndrome and the use of certain drugs , such as the drug anastrozole (Arimidex), used to treat breast cancer. milk

Obesity is one of the main factors that cause compression of the nerves in the wrist.

Changes in fluid retention can cause irritation to the median nerve. and resulting in compression on the palmar nerve cavity This condition usually occurs during pregnancy. but will disappear on its own after the pregnancy is over.

Other medical conditions – menopause Thyroid disorders, kidney failure, and lymphedema can cause compression of the nerves in the wrist.

Workplace factors – jobs that require a lot of work on the wrist. This will result in compression on the median nerve. such as working with tools or working on a production line. This form of operation can cause further damage or damage to the palmar nerve cavities. and symptoms will worsen in cold weather

There is evidence from research data that there is a link between the occurrence of carpal tunnel compression and computer work. It also said it might be caused by using a mouse rather than using a keyboard, but there is not enough reference. To support that prolonged computer use is directly linked to disease symptoms.

Diagnosis

The doctor will examine the symptoms ( symptoms’ pattern) , such as which finger pain is present. If the patient has pain in the little finger It may be a symptom of another disease. In addition to carpal tunnel syndrome, the doctor will perform a physical examination of the patient by testing the hand muscles and the sensation of each finger. Examination by bending, pressing, or lightly tapping the nerve area will encourage symptoms to appear. X-rays are sometimes used to determine the possibility of arthritis or fractures of the wrist. Sometimes the doctor will advise the patient to do it. Electromyography diagnostics (electromyography)

for this type of examination, The doctor will insert a needle into the electrode. (electrode-needle) in the desired muscle area This test assesses the muscle’s ability to contract through the use of electrocardiograms and can also assess damage. that may occur at the median nerve muscle Other types of muscle electromyography are also available, such as a nerve conduction study , in which a doctor wraps two electrodes at the desired point on the patient’s body. It sends a low-level electric current along the median nerve to help determine if the electrical impulse is slowing down in the palmar nerve. diagnosis wrist nerve compression syndrome

Treatment

In the event that the patient is in the early stages of sciatic nerve compression syndrome, the patient can follow a course of treatment. that can be done by yourself such as resting the use of the hand that has symptoms avoidance of activities that may make symptoms worse and cold compresses to reduce swelling

There are also treatment options such as Wrist splinting, medication and surgery Wrist splingting is one of the most palliative treatments. Conservative treatments can help treat mild to moderate symptoms that come and go for less than 10 minutes. Patients are advised to make an appointment if they experience numbness in the palm of their hand.

These non-surgical treatments may be used for early treatment.

Wrist splinting is a procedure that involves resting your wrist while sleeping. to reduce pain or numbness during the night, using a night splint or a device that keeps the wrist in its normal position at bedtime It is another option for patients who are pregnant. And can also be used to prevent symptoms during the daytime as well.
Nonsteroidal anti-inflammatory drugs ( NSAIDs) – ibuprofen such as Advil and Motrin IB may provide short-term relief from pain.
corticosteroids corticosteroids – Your doctor will sometimes recommend injecting corticosteroids into the palmar nerve. And ultrasound is also used in this method.
Corticosteroids can help relieve pressure on the median nerve. help reduce pain How corticosteroids work Is to reduce inflammation and swelling that occurs. in the treatment of nerve compression in the wrist Corticosteroid injections are effective in treating than using the same drug, but in the oral type

Evidence suggests that treating arthritis may help reduce symptoms of sciatic nerve compression in the wrist. Especially if the disease is caused by the aftermath of rheumatoid arthritis. or other inflammations in the joints

Depending on the severity of the condition , your doctor will sometimes recommend surgery . or unresponsiveness to other forms of treatment Surgery will help relieve the compression with surgery on the ligament that presses on the median nerve.

There are two types of surgical options for the treatment of the disease: Endoscopic surgery and general surgery For endoscopic surgery , the surgeon uses a small camera tool. To examine the inner structure of the palmar nerve cavity The surgeon will cut a single tendon. or two tendons that are on the patient’s palm or wrist Sometimes an ultrasound instrument is used instead of a telescope to help cut the tendon. The second surgical option is general surgery. The surgeon makes an incision in the patient’s palm in the palmar nerve cavity. and cut through the tendon to cut the part from the nerve compression